Cycle 1
Health 2025-09-26 · Fire 2025-09-26
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bluffton, SC
Sprenger Healthcare of Bluffton
5-star overall rating with 5-star inspections
60 Okatie Village Drive, Bluffton, SC
(843) 548-2500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sprenger Health Care Systems
Operator or chain grouping
Approved since
2019-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 1.01 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.22 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.65 · national 1.54
Weekend hours
2.99
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,121
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.65% · Performance 22.72% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.06
Baseline 5.09% · Performance 7.52% · Measure score 1.06 · Achievement 1.06 · Improvement 0
Total nurse turnover
2.52
Baseline 81.97% · Performance 64.71% · Measure score 2.52 · Achievement 0 · Improvement 2.52
Adjusted total nurse staffing
3.60
Baseline 4.03 hours · Performance 4.10 hours · Measure score 3.60 · Achievement 3.60 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.14% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 202 · Observed rate 10.89% · Lower 95% interval 8.31% |
| Discharge to community | 62.52% |
50.57%
12 pts better
|
Better than the National Rate · Eligible stays 175 · Observed rate 58.29% · Lower 95% interval 54.41% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 79 · Denominator 79 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 79 |
| Discharge self-care score | 60.47% |
53.69%
6.8 pts better
|
Numerator 26 · Denominator 43 |
| Discharge mobility score | 46.51% |
50.94%
4.4 pts worse
|
Numerator 20 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 1.27% |
2.29%
1 pts better
|
Numerator 1 · Denominator 79 · Adjusted rate 1.2% |
| Healthcare-associated infections requiring hospitalization | 7.52% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 7.69% · Lower 95% interval 4.58% |
| Staff COVID-19 vaccination coverage | 2.4% |
8.2%
5.8 pts worse
|
Numerator 3 · Denominator 125 |
| Staff flu vaccination coverage | 40% |
42%
2 pts worse
|
Numerator 50 · Denominator 125 |
| Discharge function score | 60.47% |
56.45%
4 pts better
|
Numerator 26 · Denominator 43 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 49 · Denominator 49 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.11% |
25.2%
14.1 pts worse
|
Numerator 5 · Denominator 45 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.4 |
2.0
1.6 pts better
|
1.9
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.1 |
1.9
3.2 pts worse
|
1.8
3.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.1 · Observed 3.5 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 49.2% |
90.5%
41.3 pts worse
|
93.4%
44.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.8% · Q2 53.8% · Q3 62.9% · Q4 38.1% · 4Q avg 49.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 75.0% |
90.6%
15.6 pts worse
|
95.5%
20.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.0%
0.7 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 4.8% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
2.9%
2 pts worse
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.0% · Q3 6.2% · Q4 5.3% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 16.2% |
6.2%
10 pts worse
|
5.4%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 13.6% · Q3 26.9% · Q4 11.8% · 4Q avg 16.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.7% |
20.4%
13.7 pts better
|
19.6%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 13.6% · Q3 3.8% · Q4 0.0% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.0% |
16.3%
6.3 pts better
|
16.7%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 1.6% |
14.9%
13.3 pts better
|
16.3%
14.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.0% |
12.4%
9.4 pts better
|
14.9%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 4.0% · Q4 3.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
17.2%
7.5 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 31.1% · Q3 21.8% · Q4 12.1% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.8%
1 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 3.5% · Q3 4.0% · Q4 3.4% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.3% |
79.8%
33.5 pts worse
|
81.7%
35.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.7% · Q2 43.2% · Q3 45.5% · Q4 46.2% · 4Q avg 46.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 27.6% |
14.1%
13.5 pts worse
|
12.0%
15.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 25.5% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.6%
1.6 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.8% |
78.0%
22.2 pts worse
|
79.7%
23.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 39.2% |
24.7%
14.5 pts worse
|
23.9%
15.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 39.2% · Observed 36.4% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-11 · Fire 2024-10-11
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-11-19 · Fire 2022-11-19
5 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
J · Immediate jeopardy
2022-11-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-16
E · Potential for more than minimal harm
2022-11-19
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-25
E · Potential for more than minimal harm
2022-11-19
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-11-19
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-11-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-11-25
Penalties and ownership
What sits behind the stars
Ownership
Shcs Inc
5% Or Greater Direct Ownership Interest · Organization
Sprenger, Nicole
5% Or Greater Indirect Ownership Interest · Individual
Sprenger, Tracey
5% Or Greater Indirect Ownership Interest · Individual
Cms & Co. Management Services, Inc.
Operational/Managerial Control · Organization
Malanowski, Kenneth
Corporate Officer · Individual
Shaw, Janelle
W-2 Managing Employee · Individual
Sprenger, Nicole
Corporate Director · Individual
Sprenger, Nicole
Corporate Officer · Individual
Sprenger, Tracey
Corporate Director · Individual
Sprenger, Tracey
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
NHC Healthcare - Bluffton
Okatie, SC
4-star overall rating with 4-star inspections with 1 recent health deficiencies
#2
The Preston Health Center
Hilton Head Island, SC
5-star overall rating with 5-star inspections with $8,018 in total fines
#3
Broad Creek Care Center
Hilton Head Island, SC
5-star overall rating with 5-star inspections
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